Canadian Paraplegic Association (Alberta)

Edmonton - 11th Annual Charity Golf Tournament
Canadian Paraplegic Association (Alberta)

Sponsored by

Wednesday August 25, 2010 - 9AM Tee Off
Edmonton Petroleum Golf and Country Club - 215 St. & 9 Ave Edmonton, AB

SPONSOR REGISTRATION


Required fields (*)

Sponsor/Company Name:*

Phone:*

Contact Name:*

Email:*

Address:*

City:*

Postal Code:*

Fax:*

Eagle Sponsor - $5,000.00

Cart Sponsor - $5,000.00

Birdie Sponsor - $2,500.00

Par Sponsor - $1,750.00

In-kind Sponsor (Please contact us for more details regarding prize and auction donation)

GOLFER REGISTRATION

Golfer #1

Golfer #1 Name:*

Company Name:

Address:

City:

Postal Code:

Phone:

Fax:

Email:

Golfer #2

Golfer #2 Name:

Company Name:

Address:

City:

Postal Code:

Phone:

Fax:

Email:

Golfer #3

Golfer #3 Name:

Company Name:

Address:

City:

Postal Code:

Phone:

Fax:

Email:

Golfer #4

Golfer #4 Name:

Company Name:

Address:

City:

Postal Code:

Phone:

Fax:

Email:

METHOD OF PAYMENT

Sponsorship Amount:

$

Golfers @ $300 each (incl. dinner)

$

Dinners only @ $43 each

$

Total Amount Due:
Please add above items

$

Please issue receipt(s) in the name(s) of:

Invoice me

Contact me for payment information

 

I would like to golf with (names & company):

(Every effort will be made to comply with your request)

For more information, contact:
Dale Baker, Special Events Coordinator
780-424-6312 or e-mail Dale at
dale.baker@cpa-ab.org